<div class="space-4"></div>
<div class="form-group">
    <label class="col-sm-1 control-label no-padding-right" for="form-field-2"> {{name}} </label>
    <div class="col-sm-9">
        <input name="{{name}}"  placeholder="" class="col-xs-10 col-sm-5" type="text">
        <span class="help-inline col-xs-12 col-sm-7">
												<span class="middle"></span>
											</span>
    </div>
</div>